Adoption Application

Adoption

Adoption form

Step 1 of 2

50%

New Pet Application

Expectations(Required)

I agree to the Expectations.

If you have not read through our expectations you can find them here furryfriendsnetwork.com/adopt/our-expectations

Date(Required)

MM slash DD slash YYYY

Animal name or brief description of type of animal desired if you are seeking pre-approval for adoption (e.g., dog/puppy/breed, cat/kitten, male /female):(Required)

Are you willing to consider other animals if the dog/cat you specified is no longer available or not a good fit?(Required)

Yes

Do you currently have an active application with other rescues or shelters?(Required)

Yes

Applicant Information

Applicant Name(Required)

First Last

Applicant Email(Required)

Applicant Birthday(Required)

MM slash DD slash YYYY

Applicant Age(Required)

Please enter a number from 18 to 100.

Applicant Address(Required)

Street Address Address Line 2 City State ZIP Code

Applicant County: i.e. Cumberland, Dauphin.(Required)

Applicant Primary Phone(Required)

Applicant Primary Phone Type(Required)

Your Home

What type of residence do you live in?(Required)

Do you live with your parents?(Required)

Yes

Do you have a fenced in yard?(Required)

Yes

If yes, please specify type of fence

Wood

Wire

PVC

Electric/Invisible

Do you own or rent your home?(Required)

Yes

If you live in a Mobile Home, do you own or rent your lot?

Own

Rent

If you rent, please provide your landlord's NAME, ADDRESS and PHONE NUMBER. (If you own your home but rent the lot, please include the NAME, ADDRESS, and PHONE NUMBER for the lot owner.):

First Name Last Name

Address

Street Address Address Line 2 City State ZIP Code

Phone

Household Members

First and Last Name, Age and Date of Birth of everyone residing in household, including yourself:(Required)

First Name

Last Name

Age

Current and Past Pets

Please list all of your pets, living and deceased, indicating species and breed (e.g., cat, dog, rabbit) who lived in your household within the past 5 years:

Species

Breed

If deceased, approx date of death

Are you financially responsible for all of the pets living in your household?

Yes

Please list all pets and relevant veterinarian information living in your home for which you are not financially responsible:

Have you ever adopted from Furry Friends Network?(Required)

Yes

Are all pets living in your home spayed/neutered?(Required)

Yes

If no, please explain why your pets(s) are unaltered:

Do you currently have or have you recently had any cats or kittens which have Feline Leukemia, Feline Aids or Distemper Virus?(Required)

Yes

Not applicable

Do you currently have or have you recently had any dogs or puppies with the Parvo or Corona Virus?(Required)

Yes

Not applicable

If you answered yes to either of the previous two questions, how do you intend to keep this pet separated from the infected pet(s)?

Are your dogs on monthly heartworm preventative?(Required)

Yes

Not Applicable

If no current dogs, were previous dogs were on preventative?

Yes

Which veterinary practices/procedures do you feel are important and/or currently provide for your pets? Please check all that apply:(Required)

Annual well visits

Spay/Neuter

Annual vaccines as dictated by the veterinarian

Annual 4DX (Heartworm and Lyme Testing)

Feline Leukemia and Aids testing

Monthly Flea/Tick Prevention

Monthly Heartworm Prevention

For all current and deceased pets (within past 5 years), please provide the NAMES and PHONE NUMBERS of all primary care veterinarians used in this timeframe (please reference which pet has seen which vet if multiple vets have been used). Please note, the sole use of a vaccine clinic does not satisfy Furry Friends Network’s medical care requirement:

Name

Phone Number

What brand and variety of food do you feed your current pets(e.g., Wellness Indoor Health Adult Dry Cat Food, Purina Pro Plan Selects):

Where do you keep your current pets?(Required)

Indoors

Outdoors

Both

If you answered both inside and outside, please explain:

Have you ever surrendered or rehomed a pet for any reason?(Required)

Yes

If yes, please explain why, and where the pet is now:

Under what circumstances would you give up a pet?(Required)

Plans for this Pet

Where do you intend to keep this pet?(Required)

If you answered both inside and outside, please explain:

Where will this animal sleep?(Required)

Crate

Dog/Cat Bed

Family Member’s Bed

Basement

Garage

Outside Kennel

How long will this pet be left alone each day (crated or otherwise unattended)?(Required)

Is there ability to provide the dog a break during their time crated or alone?

How do you exercise your current dog(s) each day (include type of activity, approximate amount of time and/or distance)?

If no current dog, how do you plan to exercise a new dog?

Do you have any family members with allergies or other health conditions that may impact the outcome of this adoption?(Required)

If yes, please explain:

References: please include name, phone number, email address, and and relation to you.

Please list two references who have observed you with your own animals or their animals would best, one of which must be a non-family or household member.

Reference 1 Name:(Required)

First Last

Reference 1 Phone:(Required)

Reference 1 Email:(Required)

Reference 1 Relation to you:(Required)

Reference 2 Name:(Required)

First Last

Reference 2 Phone:(Required)

Reference 2 Email:(Required)

Reference 2 Relation to you:(Required)

Briefly explain why you can provide the best home for this animal:

Adopting an animal is a big responsibility. The animal for which you are applying will be totally dependent on you for all of its needs for the rest of its life. This includes medical care (both routine and emergency), exercise, food and training. Are you aware of this and are you prepared financially to provide the care needed it costs to care for an animal?(Required)

Yes

If your animal requires extensive medical care, surgery, etc., in the future, are you able and willing to financially provide that for your adopted animal?(Required)

Yes

Are you willing to make a life-long commitment to this animal?(Required)

Yes

Furry Friends Network requires you and your newly adopted dog attend at least one basic group obedience course. Are you willing to take your adopted dog through at least one basic group obedience course?(Required)

Yes

Not Applicable

Consent(Required)

By submitting this application, you are consenting to allow a Furry Friends Network Representative to contact your veterinarian(s) to obtain pet history and medical information.

I certify that all information in this application is true. Furthermore, I understand that if the
information contained herein is found to be false, my application will be voided and any pending
adoption refused.

Furry Friends Networks is a 501(c)(3) non-profit organization. Adoption fees cover the cost of vaccinations, spay/neuter surgery and microchipping. Adoption fees also include PA sales tax.

$450.00 to adopt a puppy up to one year of age.
$425.00 to adopt a dog over 1 year of age to 10 years of age.
$250.00 to adopt a senior dog over age 10.
$125.00 to adopt a kitten (up to 1 year of age)
$100.00 to adopt a cat (over 1 year of age)

Adoption

New Pet Application

Applicant Information

Your Home

Household Members

Current and Past Pets

Plans for this Pet

References: please include name, phone number, email address, and and relation to you.

Follow us:

Contact:

What's the Latest?

Adoption Application

Adoption

New Pet Application

Applicant Information

Your Home

Household Members

Current and Past Pets

Plans for this Pet

References: please include name, phone number, email address, and and relation to you.

Follow us:

Contact: